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Thangam-Muthu Polytechnic College, Periyakulam - 625604. Cell: 9843835761, 8838148835
Admission Application Form - 2020-21
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Name of Applicant
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Mobile No.
*
Your answer
Aadhar Number
*
Your answer
Gender
*
Male
Female
Name of the Parent / Guardian
*
Your answer
Door No. & Street
Your answer
Name of City / village
*
Your answer
Taluk
*
Your answer
District
*
Your answer
PIN
*
Your answer
Mother Tongue
*
Tamil
Telugu
Malayalam
Kannada
Other:
Religion
*
Hindu
Muslim
Christian
Other:
Community
*
Choose
OC
BCO
BCM
MBC
DNC
SC(O)
SCA
ST
Caste
*
Your answer
Parent Annual Income
Your answer
Passed in
*
SSLC (10th)
HSC (A)
HSC (V)
ITI (2 Years)
Name of the School / Private
*
Your answer
Register / Roll No.
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Your answer
Marks Obtained
Your answer
Maximum Marks
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500
600
720
1100
1200
EMIS Number
Your answer
Year of Passing
*
Your answer
Application for
First Year
Lateral Entry (Direct Second Year)
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Application for the Course
*
Mechanical engineering - DME
Automobile Engineering - DAE
Electrical and Electronics Engineering - EEE
Computer Engineering - CT
Mechanical Engineering(Tool&Die) - DME(Tool&Die)
Declaration
*
The above information furnished by me is true and correct to best of my knowledge and I agreed to abide by the all rules and regulation as and now in force and also those that may be introduced from time to time
I agree the above Terms and conditions of College and DOTE
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